DR. SAMUEL WADE CROFT (NPI# 1114571726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114571726 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL WADE CROFT |
| Credential | DC |
| Practice Address |
3733 Karicio Ln Prescott AZ 86303-6829 |
| Mailing Address |
3809 Slalom Dr Apt 283 Billings MT 59102-5966 |
| Practice Telephone | 9284420202 |
| Mailing Telephone | 2085699450 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8841 | AZ | Chiropractic Providers |
| Street Address |
3733 KARICIO LN |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-6829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558318824 | Brian David Benson | Chiropractor | 3733 Karicio Ln, Prescott, AZ 86303-6829 | 2006-05-30 |
| 1154544617 | Precision Spinal Care Pllc | Chiropractor | 3733 Karicio Ln, Prescott, AZ 86303-6829 | 2007-04-11 |
| 1548208739 | Joanne Lorraine Therriault | Chiropractor | 3733 Karicio Ln, Prescott, AZ 86303-6829 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003313024 | Lifestyle Chiropractic LLC | Chiropractor | 142 N Rush St Ste 1, Prescott, AZ 86301-3225 | 2018-04-06 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1457853665 | Tiffany Lynn Nichole John | Chiropractor | 142 N Rush St, Ste 1, Prescott, AZ 86301-3225 | 2018-03-03 |
| 1730627514 | Carl Manuel Calabrese | Chiropractor | 716 Saint Croix St, Prescott, WI 54021-1445 | 2017-02-01 |
| 1609262096 | Robert Boehland | Chiropractor | 2225 E State Route 69, Suite A, Prescott, AZ 86301-5657 | 2015-04-13 |
| 1528367521 | Donald Burton Schueller | Chiropractor | 219 Broad St N, Prescott, WI 54021-1703 | 2011-03-16 |
| 1760710453 | Advanced Chiropractic Center, Inc. | Chiropractor | 728 N Montezuma St Ste A, Prescott, AZ 86301-2090 | 2009-11-18 |
| 1609102359 | Justin Boyce Bryce | Chiropractor | 119 Garden St, Suite C, Prescott, AZ 86305-2913 | 2009-10-29 |
| 1225278286 | Steven M. Teagarden | Chiropractor | 119 Grove Ave, Suite D, Prescott, AZ 86301-2902 | 2009-03-03 |
| 1770766214 | Mark Edward Miller I | Chiropractor | 240 S Montezuma St Ste 204, Prescott, AZ 86303-4787 | 2007-12-06 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.